Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.16 / $779.56 / $828.63	Professional		$577.16	$779.56	$828.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $696.94 / $699.91 / $777.63	Professional		$696.94	$699.91	$777.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $634.82 / $1,575.38	Facility		$599.00	$634.82	$1,575.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.99 / $717.11 / $1,152.05	Professional		$521.99	$717.11	$1,152.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $668.35 / $768.60 / $1,002.53	Professional		$668.35	$768.60	$1,002.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $1,386.00 / $1,386.00	Facility		$1,386.00	$1,386.00	$1,386.00
United Facility/Professional Professional Modifier Low / Median / High Price $491.28 / $616.38 / $1,295.47	Professional		$491.28	$616.38	$1,295.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $518.46 / $702.34 / $768.60	Professional		$518.46	$702.34	$768.60